Sexually Transmitted Diseases Clinical Trial
Official title:
Evaluation of NAATs for Detection of C. Trachomatis and N. Gonorrhoeae From Pharynx, Rectum, Glans & Urethra of MSM
Julius Schachter, PhD, from the Department of Laboratory Medicine at UCSF, and Jeffrey Klausner, MD, from the Department of Public Health, are conducting a study to evaluate a type of test (nucleic acid amplification test) for the detection of two sexually transmitted diseases, Chlamydia trachomatis and Neisseria gonorrhoeae, in men who have sex with men (MSM), using urine samples and swabs taken from the throat (pharynx), tip of penis (glans), and rectum. The use of nucleic acid amplification tests on these swabs is experimental, which means that the use of the tests for this purpose have not been approved by the Food & Drug Administration.
For all subjects enrolled in the study, the following clinical data information will be
obtained: 1) reason for exam, 2) subject's signs and symptoms and 3) clinical assessment.
For each subject enrolled in the study, three clinician-collected pharyngeal, four rectal
swabs (three clinician-collected, 1 self-collected) specimens, one glans swab
(self-collected) and a first catch urine specimen (approximately 25 ml) will be obtained.
The collection order of the clinician collected swabs will be randomized.
Three pharyngeal swabs will be tested for: 1) CT/NG NAAT (TMA) at DPH, 2) NG culture at DPH
and 3) NAATs for CT/NG (TMA, SDA) and CT culture at UCSF. Four rectal swabs will be tested
for: 1) CT/NG NAAT (TMA) at DPH, 2) NG culture at DPH and 3) NAATs for CT/NG on Clinician-
and self-collected rectal swab (TMA, SDA) and CT culture at UCSF. Self-collected glans swab
and the FCU will be tested by NAATs for CT/NG (TMA, SDA) at UCSF. All NAAT specimens
collected in a universal NAAT transport medium. After specimen processing, samples will be
frozen at -70 C for discrepant analysis.
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Observational Model: Cohort, Time Perspective: Cross-Sectional
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